Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
TR SPECIAL PORT PLAN
Georgetown, TX
See all hospitals reporting CPT 77321 →Price type
St. David's Georgetown Hospital’s median price of $573 is 40% above the median hospital's median price ($408), higher than 66% of the 1,868 hospitals reporting CPT 77321. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 34 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 2 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 3 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $164 | $164 | — | — | — | $164 – $164 |
| 4 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $164 | $164 | — | — | — | $164 – $164 |
| 5 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 6 | Blue Cross Blue Shield ppo fee schedule · outpatient | $188 | $188 | — | — | — | $188 – $188 |
| 7 | Aetna narrownetwork fee schedule · outpatient | $236 | $236 | — | — | — | $236 – $236 |
| 8 | Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges | $297 | $297 | $26 | 9% | — | $271 – $323 |
| 9 | Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges | $297 | $297 | $26 | 9% | — | $271 – $323 |
| 10 | Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges | $297 | $297 | $26 | 9% | — | $271 – $323 |
| 11 | Aetna comm fee schedule · outpatient | $327 | $327 | — | — | — | $327 – $327 |
| 12 | Aetna meritain fee schedule · outpatient | $327 | $327 | — | — | — | $327 – $327 |
| 13 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $335 | $335 | $30 | 9% | — | $306 – $365 |
| 14 | Oscar hmo percent of total billed charges · outpatientfrom % of charges | $335 | $335 | $30 | 9% | — | $306 – $365 |
| 15 | Oscar epo percent of total billed charges · outpatientfrom % of charges | $374 | $374 | $33 | 9% | — | $341 – $407 |
| 16 | Oscar pos percent of total billed charges · outpatientfrom % of charges | $374 | $374 | $33 | 9% | — | $341 – $407 |
| 17 | Oscar ppo percent of total billed charges · outpatientfrom % of charges | $374 | $374 | $33 | 9% | — | $341 – $407 |
| 18 | Aetna asa fee schedule · outpatient | $381 | $381 | — | — | — | $381 – $381 |
| 19 | Aetna oon fee schedule · outpatient | $385 | $385 | — | — | — | $385 – $385 |
| 20 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $435 | $435 | $39 | 9% | — | $396 – $474 |
| 21 | Cigna newbusinessnetwork fee schedule · outpatient | $448 | $448 | — | — | — | $448 – $448 |
| 22 | Cigna hmo fee schedule · outpatient | $484 | $484 | — | — | — | $484 – $484 |
| 23 | Cigna openaccess fee schedule · outpatient | $484 | $484 | — | — | — | $484 – $484 |
| 24 | Cigna openaccessplus fee schedule · outpatient | $484 | $484 | — | — | — | $484 – $484 |
| 25 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $485 | $485 | $43 | 9% | — | $442 – $528 |
Last updated: Sep 1, 2026
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